L. Randy Buntyn, D.M.D. , PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

L. RANDY BUNTYN, D.M.D. , PLLC

Practice address

1203 Government St.
Ocean Springs, MS 39564

Phone

(228) 875-3343

Fax

(228) 872-9794

NPI assigned

Oct 26, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larry Ross Buntyn Jr., D.M.D.NPI 1326132069

Title

President/Manager

Phone

(228) 875-3343

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Ross Buntyn Jr., DMD

  • Dentist
  • Ocean Springs, MS
  • NPI 1326132069

  General Practice

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1386016749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 GOVERNMENT ST.",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-875-3343",
            "fax_number": "228-872-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 GOVERNMENT ST.",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-875-3343",
            "fax_number": "228-872-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. RANDY BUNTYN, D.M.D. , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "BUNTYN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "228-875-3343",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Nicole Kopp, BCBA
• Christin Kotula, LMT #670
• April Krieger, LPC, NCC
• Lisa Diane Kuhl, SLP
• Janus Kulpa, M.D.
• La-Miss Podiatry & Foot Clinic
• Laboratory Corporation of America Holdings
• Alaina Ladner
• Brennah Autumn Ladner, RBT
• Jennah Claine Ladner, FNP-C

• General Practice Dentistry in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.